Brady Pregerson, MD

: A woman in her mid-40’s is sent from a nearby monoclonal antibody clinic to the ER for a syncopal episode. She denies any injury or prodromal chest pain, SOB, palpitations, or other complaints beyond the low-grade fever and cough she has been having for the past week.

: Vital signs are normal though the pulse is in the high 90’s. Exam is otherwise non-focal.

Computer Read: NSR at 94, long QT at 717.

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Our latest case report from Brady Pregerson, MD, features a woman in her 40s sent from a monoclonal antibody clinic to the ER for a syncopal episode. Check out the EKG and try to determine the correct diagnosis!

Cardiology Case Report: Syncope and COVID-19

: An elderly man is brought to the ED as a code STEMI from home for AMS and SOB. He recently recovered from pneumonia. He is too lethargic to give any meaningful history, but the wife says he has not been having any chest pain or other pain. He has a history of hypertension, treated with benazepril as well as a prior MI.

: Vital signs are normal except for pulse in the 110’s.

Computer Read: Sinus rhythm with first degree AB block, RBBB, Inferior MI, ***ACUTE MI***, QTc 410ms

Our latest cardiology case report from Brady Pregerson, MD, features an elderly man brought to the emergency department as a code STEMI from home for altered mental status and shortness of breath. Can you determine the correct diagnosis?

Cardiology Case Report: Altered Mental Status and Shortness of Breath

: A man in his late 40’s is brought to the emergency department for a first time seizure witnessed by his wife. He denies near-syncope, palpitations, chest pain, SOB, fever, cough or other complaints but does admit to a history of alcohol dependence.

: Vital signs are normal including heart rate and BP.

Our latest case report from Brady Pregerson, MD, features a man in his 40s presenting to the ED for a first time seizure and denying near-syncope, palpitations, chest pain, and other complaints. Can you determine the correct diagnosis?

Cardiology Case Report: First-Time Seizure

: A man in his mid 60’s was sent to the urgent care by his PCP for 6 hours of vomiting that had occurred the day prior. He has had no further vomiting today but occasionally still feels a bit nauseous. He denies any fever, diarrhea, abdominal or chest discomfort, SOB, weakness other complaints.

: Vital signs are normal. Other than obesity his physical exam is normal including clear lungs, no edema, and no abdominal tenderness.

Our latest case report from Brady Pregerson, MD, features a man in his mid-60s presenting to the ED after his primary care provider referred him for 6 hours of vomiting that had occurred the day prior. Can you determine the correct diagnosis?

Cardiology Case Report: Vomiting Yesterday

: A man in his mid-20’s comes to the ED for palpitations and non-pleuritic, non-exertional, non-radiating chest tightness on and off for days lasting hours at a time. He also feels anxious. He denies syncope, palpitations, SOB, fever, cough, or other complaints. He states when he goes hiking he feels fine, but when he is trying to fall asleep he notices the palpitations and tightness the most. He denies any tobacco or drug use.

: Vital signs are normal as is his physical exam.

Computer Read: Junctional rhythm, ST-elevation consider early repol, pericarditis or injury

Our latest case report from Brady Pregerson, MD, features a man in his mid-20s presenting to the emergency department for palpitations and non-radiating chest tightness. Can you determine the correct diagnosis?

Cardiology Case Report: Palpitations and Chest Tightness

A man in his 20’s comes to the ED for body aches including chest discomfort and feeling light-headed. Symptoms started about 3 hours after his second COVID vaccine and are non-progressive at this point. He was told he needs a doctor’s note to return to work. He denies syncope, palpitations, SOB, fever, cough or other complaints.

Vital signs are normal. He is not orthostatic. Exam is normal.

Computer Read: NSR at 78, TWA consider inferior/anterolateral ischemia.

Our latest cardiology case report from Brady Pregerson, MD, features a man in his 20s presenting to the emergency department complaining of body aches, chest discomfort, and light-headedness. Can you determine the correct diagnosis?